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梅克尔憩室的多种表现及其并发症

The many faces of Meckel's diverticulum and its complications.

作者信息

Choi Seo-Youn, Hong Seong Sook, Park Hyun Jeong, Lee Hae Kyung, Shin Hyeong Cheol, Choi Gyo Chang

机构信息

Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Department of Radiology, Soonchunhyang University Seoul Hospital, Seoul, Korea.

出版信息

J Med Imaging Radiat Oncol. 2017 Apr;61(2):225-231. doi: 10.1111/1754-9485.12505. Epub 2016 Aug 4.

Abstract

Meckel's diverticulum is the most frequent congenital malformation of the gastrointestinal tract, occurring in 2% of the general population. Meckel's diverticulum is usually asymptomatic and found incidentally. However, the lifetime risk of complications is 4-40%. In this essay, we describe the clinical and imaging findings in 12 cases of Meckel's diverticula with complications over a 5-year period, which were confirmed pathologically. The major complications of Meckel's diverticulum include gastrointestinal bleeding, bowel obstruction, perforation and inflammation. Small bowel follow-through (SBFT), computed tomography (CT) including CT enterography and RI scintigraphy can be used to show typical imaging features of Meckel's diverticulum and its complications. Knowledge of the clinical and radiologic findings of Meckel's diverticulum can aid in the early and accurate diagnosis of this anomaly and its complications.

摘要

梅克尔憩室是最常见的胃肠道先天性畸形,在普通人群中的发生率为2%。梅克尔憩室通常无症状,多为偶然发现。然而,其一生中发生并发症的风险为4% - 40%。在本文中,我们描述了5年间12例经病理证实的并发梅克尔憩室的临床及影像学表现。梅克尔憩室的主要并发症包括消化道出血、肠梗阻、穿孔和炎症。小肠钡剂造影(SBFT)、包括CT小肠造影的计算机断层扫描(CT)以及放射性核素闪烁扫描(RI)可用于显示梅克尔憩室及其并发症的典型影像学特征。了解梅克尔憩室的临床及影像学表现有助于早期准确诊断该异常及其并发症。

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